NRP Guidelines during the COVID-19 Pandemic

Resuscitation of neonate preferably to be done in a physically separate room adjacent to delivery room. However, If not feasible due to logistic issues then resuscitation trolley should be physically separated from the delivery area by a distance of at least 2 meters.
Minimum possible number of personnel should attend the delivery and wear a full set of PPE including N95 mask.
Delayed cord clamping and skin-to-skin contact can be practiced. (WHO)
Neonatal resuscitation should follow standard guidelines. However unnecessary suction should be avoided
Endotracheal administration of adrenaline should be avoided.
Indications for intubation shall not change because of maternal COVID-19 status.
- Risk of dispersion of secretion while doing bag & mask ventilation (even in presence of leak) is just 1-2 cm as compared to adult resuscitation where dispersion of secretion can go up to 30-90 cm. So risk of droplets transmission is very less.
Bathing is not recommended in view of risk of hypothermia and hospital acquired infections.
Mother should perform hand hygiene and wear triple layer surgical mask.
Mother can start breast feeding as soon as possible, using mask & hand hygiene.